Daniel Onwuka Odeghe

Primary specialty

DentistTaxonomy code 122300000X

License

30.026065 Issued in OH

Practice address

1313 W Bogart Rd
Sandusky, OH 44870-5704

Phone

(419) 526-6784

NPI assigned

Mar 16, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Odex Dental

  • General Practice Dentistry
  • Euclid, OH
  • NPI 1790513448
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1194351742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 LINDSLEY ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W BOGART RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705704",
            "telephone_number": "419-526-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEGHE",
        "first_name": "DANIEL",
        "middle_name": "ONWUKA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.026065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• O E Meyer Co
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• Laura J Obergefell, N.P.-C
• Jodi Leigh Obermeyer, FNP-C
• Ohio Clinical Laboratories LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio Veterans Home Pharmacy
• Beth Ann Oldaker

• Dentist in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.